Individual
MRS. DEBRA SUE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17068 FISH DAUM RD, RICHWOOD, OH 43344-9743
(740) 815-5784
Mailing address
17068 FISH DAUM RD, RICHWOOD, OH 43344
(740) 815-5784
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN127257
OH
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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